GRANT DALE-DERKS DO
NPI 1386303550
Student in an Organized Health Care Education/Training Program in Bronx, NY
About Grant Dale-derks Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANT DALE-DERKS DO (NPI 1386303550) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since December 2021. He maintains a secondary practice location in Kansas City.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10457
BRONX, NY 10457
BRONX, NY 10457
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grant Dale-derks's NPI number?
The NPI number for Grant Dale-derks is 1386303550. It was assigned to this individual provider in the NPPES registry on December 14, 2021. The provider is also known as Grant Dale Derks Do.
Where is Grant Dale-derks located?
Grant Dale-derks practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.
What is Grant Dale-derks's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Grant Dale-derks was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
